VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2018
|
820571654
|
2019-09-30
|
VALLEY DENTAL PEDIATRICS, P.C.
|
19
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
139 JENSEN ROAD, VESTAL, NY, 13850
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2017
|
820571654
|
2018-10-13
|
VALLEY DENTAL PEDIATRICS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
139 JENSEN ROAD, VESTAL, NY, 13850
|
Signature of
Role |
Plan administrator |
Date |
2018-10-13 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2016
|
820571654
|
2017-07-31
|
VALLEY DENTAL PEDIATRICS, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2015
|
820571654
|
2016-10-12
|
VALLEY DENTAL PEDIATRICS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2014
|
820571654
|
2015-07-02
|
VALLEY DENTAL PEDIATRICS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2013
|
820571654
|
2014-10-06
|
VALLEY DENTAL PEDIATRICS, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
MICHELLE K. TUNISON, D.D.S. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2012
|
820571654
|
2013-10-14
|
VALLEY DENTAL PEDIATRICS, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2011
|
820571654
|
2012-10-12
|
VALLEY DENTAL PEDIATRICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Plan administrator’s name and address
Administrator’s EIN |
820571654 |
Plan administrator’s name |
VALLEY DENTAL PEDIATRICS, P.C. |
Plan administrator’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760 |
Administrator’s telephone number |
6077543903 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2010
|
820571654
|
2011-10-03
|
VALLEY DENTAL PEDIATRICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Plan administrator’s name and address
Administrator’s EIN |
820571654 |
Plan administrator’s name |
VALLEY DENTAL PEDIATRICS, P.C. |
Plan administrator’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760 |
Administrator’s telephone number |
6077543903 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
|
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST
|
2009
|
820571654
|
2010-10-04
|
VALLEY DENTAL PEDIATRICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6077543903
|
Plan sponsor’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760
|
Plan administrator’s name and address
Administrator’s EIN |
820571654 |
Plan administrator’s name |
VALLEY DENTAL PEDIATRICS, P.C. |
Plan administrator’s
address |
609 EAST MAIN STREET, ENDICOTT, NY, 13760 |
Administrator’s telephone number |
6077543903 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
GARY W. BIGSBY, D.M.D. |
|
|